| Jhcp - 4102 Wilson Blvd | |
|
4102 Wilson Blvd Arlington VA 22203 | |
| (703) 462-1777 | |
| (703) 657-1192 |
| Full Name | Jhcp - 4102 Wilson Blvd |
|---|---|
| Speciality | Internal Medicine |
| Location | 4102 Wilson Blvd, Arlington, Virginia |
| Authorized Official Name and Position | Steven Kravet (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4109330000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jhcp - 4102 Wilson Blvd 6201 Greenleigh Ave Middle River MD 21220-2004 Ph: (410) 933-0000 | Jhcp - 4102 Wilson Blvd 4102 Wilson Blvd Arlington VA 22203 Ph: (703) 462-1777 |
| NPI Number | 1902626765 |
|---|---|
| Provider Enumeration Date | 10/15/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902626765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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